scholarly journals Differential Expression of Inflammatory Markers in Hypoglycemia Unawareness Associated with Type 1 Diabetes: A Case Report

2020 ◽  
Vol 11 (1) ◽  
pp. 17
Author(s):  
Yousef Al Zoubi ◽  
Bashair M. Mussa ◽  
Ankita Srivastava ◽  
Abdul Khader Mohammed ◽  
Elamin Abdelgadir ◽  
...  

The recurrence of hypoglycemic episodes leads to attenuation of the normal counter-regulatory mechanisms that are controlled by the hypothalamus, which results in hypoglycemia unawareness (HU). In this case report, we described for the first time the differential expression of TNF-α, IL-1β, IL-6, and IFN-γ in a blood sample that was taken from a 27-year-old patient with type 1 diabetes mellitus (T1DM) who was diagnosed with HU. The anti-diabetic regimen is currently based on insulin injection, but the patient is planning to start the use of an insulin pump to have better control of glucose levels. Our results showed a trend toward an increase in the expression of IL-1β, IL-6, and IFN-γ in T1DM patient with HU. However, the mRNA level of TNF-α showed a significant decrease. These observations suggest that systemic inflammation could be an underlying cause of HU.

2021 ◽  
Vol 5 (3) ◽  
pp. 296-298
Author(s):  
Brian Thompson ◽  
Anthony Kitchen

Introduction: Recently, euglycemic diabetic ketoacidosis has been an increasing topic of discussion within emergency medicine literature. Euglycemic diabetic ketoacidosis can easily be missed, as a normal point-of-care glucose often mistakenly precludes the work-up of diabetic ketoacidosis. Case Report: A 16-year-old female with a past medical history of type 1 diabetes presented to the emergency department with altered mental status, vomiting, and abdominal pain. She was diagnosed with euglycemic diabetic ketoacidosis. Conclusion: Reported cases of euglycemic diabetic ketoacidosis are most frequently attributed to sodium glucose cotransporter-2 inhibitors, but other potential causes have been discussed in the literature. In this patient, a starvation state with continued insulin use in the setting of acute appendicitis led to her condition.


2019 ◽  
Vol 8 (4) ◽  
pp. 223-226
Author(s):  
Hanna Kwiendacz ◽  
Magdalena Domek ◽  
Katarzyna Nabrdalik ◽  
Anna Maj-Podsiadło ◽  
Magdalena Marcisz ◽  
...  

Author(s):  
Javad Tavakkoly Bazzaz ◽  
Mahsa M Amoli ◽  
Zahra Taheri ◽  
Bagher Larijani ◽  
Vera Pravica ◽  
...  

Author(s):  
Kristy Tian ◽  
Haur Yueh Lee ◽  
Huee Boon Lim ◽  
Yoke Ling Chan ◽  
Ai Heong Chong ◽  
...  

2015 ◽  
Vol 21 (3) ◽  
pp. 75
Author(s):  
T. V. Nikonova ◽  
I. I. Vityazeva ◽  
E. V. Pekareva ◽  
I. I. Barmina ◽  
Yu. V. Alekseeva ◽  
...  

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